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Updated: Feb 5, 2026

Studying Triple Negative Breast Cancer Using Orthotopic Breast Cancer Model
Published on: March 20, 2020
Association Between BRCA Status and Triple-Negative Breast Cancer: A Meta-Analysis
Haixia Chen1, Jianming Wu1, Zhihong Zhang2
1Department of Pharmacology, School of Pharmacy, Southwest Medical University, Luzhou, China.
Abstract:
Triple-negative breast cancer (TNBC) is a subtype of aggressive breast cancer and characterized by a lack of the expression of estrogen receptor, progesterone receptor and human epidermal growth factor receptor 2. BRCA genes are tumor-suppressor genes that are involved in DNA damage repair and mutations of BRCA genes may increase the risk of developing breast cancer and/or ovarian cancer due to defective DNA repair mechanisms. However, the relationship between BRCA status and TNBC needs to be further investigated and validated. The aim of this meta-analysis was to evaluate the association between BRCA status and TNBC. We systematically searched the electronic databases of MEDLINE (PubMed), Embase, and Cochrane Library to identify relevant publications from April, 1959 to November, 2017. The data from the studies were examined by a meta-analysis using STATA software to calculate the odds ratio (OR) with 95% confidence interval (CI) by fixed-effect and random-effect models. We identified 16 qualified studies from 527 publications with 46,870 breast cancer patients including 868 BRCA1 mutations (BRCA1 ) carriers, 739 BRCA2 mutations (BRCA2 ) carriers, and 45,263 non-carriers. The results showed that breast cancer patients with BRCA1 carriers were more likely to have TNBC than those of BRCA2 carriers (OR: 3.292; 95% CI: 2.773-3.909) or non-carriers (OR: 8.889; 95% CI: 6.925-11.410). Furthermore, high expression of nuclear grade and large tumor burden (>2 cm) were significantly more common in breast cancer patients with BRCA1 carriers than those of BRCA2 carriers (OR: 2.663; 95% CI: 1.731-4.097; P = 0.211) or non-carriers (OR: 1.577; 95% CI: 1.067-2.331; P = 0.157). The data suggest that breast cancer patients with BRCA1 are more likely to have TNBC, high nuclear grade, and larger tumor burden.
Insights
BRCA1 gene mutations significantly increase the risk of triple-negative breast cancer (TNBC) and larger tumor burdens. This finding highlights the importance of BRCA status in aggressive breast cancer subtypes.
Area of Science:
- Oncology
- Genetics
- Cancer Research
Background:
- Triple-negative breast cancer (TNBC) is an aggressive subtype lacking key receptor expression.
- BRCA genes are crucial tumor suppressors involved in DNA repair.
- BRCA mutations can elevate breast and ovarian cancer risks due to impaired DNA repair.
Purpose of the Study:
- To conduct a meta-analysis evaluating the association between BRCA gene status and triple-negative breast cancer.
- To investigate the link between BRCA1/BRCA2 mutations and TNBC risk.
- To explore correlations between BRCA status, TNBC, and tumor characteristics.
Main Methods:
- Systematic literature search of MEDLINE, Embase, and Cochrane Library (1959-2017).
- Meta-analysis of 16 studies involving 46,870 breast cancer patients.
- Calculation of odds ratios (OR) with 95% confidence intervals (CI) using fixed-effect and random-effect models.
Main Results:
- BRCA1 mutation carriers showed a significantly higher likelihood of TNBC compared to BRCA2 carriers (OR: 3.292) and non-carriers (OR: 8.889).
- High nuclear grade and larger tumor size (>2 cm) were more prevalent in BRCA1 carriers versus BRCA2 carriers and non-carriers.
- The data indicate a strong association between BRCA1 mutations and aggressive TNBC phenotypes.
Conclusions:
- BRCA1 mutation carriers have a substantially increased risk of developing triple-negative breast cancer.
- BRCA1 mutations are linked to more aggressive tumor features, including high nuclear grade and larger tumor burden.
- This meta-analysis underscores the importance of assessing BRCA status in TNBC patients for risk stratification and potential therapeutic strategies.
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